Full-Time

Patient Care Coordinator

Outpatient OB GYN Clinic

Deadline 7/9/27
Foundation Health Partners

Foundation Health Partners

Compensation Overview

$23.53 - $36.76/hr

+ Shift Differential + Annual Increases

Fairbanks, AK, USA

In Person

On-site at Fairbanks Memorial Hospital; 40 hours per week; 5x8 hour day shifts.

Category
Administrative & Executive Assistance (1)
Requirements
  • High school diploma/GED or equivalent working knowledge.
  • Requires three or more years working in a hospital or medical office.
  • Requires knowledge of medical terminology.
  • Must be able to work under minimal supervision and make independent decisions using good judgment.
  • Excellent communication, human relations, attention to detail and organizational skills are required.
  • Must possess highly developed interpersonal relations and process coordination skills.
  • Requires knowledge of payer contract terms and processes.
  • Requires the ability to perform basic math function and the ability to handle confidential information and sensitive issues.
  • Must be able to work effectively with common office software and hospital software to perform intake and updates to patient medical history in addition to other software used in scheduling and billing.
Responsibilities
  • Performs patient intake process, which may include pre-registration/registration. Partners with the clinical care team to determine initial authorizations needed based on the predicted care treatment plan. Obtains patient insurance benefit information for all aspects of the treatment, including, but not limited to, inpatient and outpatient services, prescription drugs, and travel and housing, if necessary. May also answer questions regarding the authorization process and supply information to providers, patients and third party payors.
  • Acts as a resource for insurance coverage, which may include obtaining authorizations and notifications throughout the patient's treatment. Obtains all necessary signatures and documentation required by the patient's insurance plan. Accurately and completely documents all information into the patient records system to ensure maximum reimbursement. Monitors and updates information regarding insurance data, authorizations, preferred providers and changes in patient's treatment plan. Partners with the clinical care team and insurance provider to ensure continued coverage of patient's care and maximum reimbursement and minimized financial impact to the patient.
  • Provides administrative support in maintaining materials such as documents, proposals, routine correspondence, spreadsheets, composing and preparing routine reports, and maintaining records in a variety of business software and database applications for electronic medical records, billing, data management.
  • Schedules physician appointments, tests, procedures and surgeries and may provide patient with necessary preparation instructions. Prepares, processes, and manages patient documentation to department database. Acts as a liaison between the patient, billing department, and payor to enhance account receivables, resolve outstanding issues and/or patient concerns.
  • Optimizes patient experience by using effective customer service. Communicates continually with patients, other departments, referral networks and providers to ensure appropriate plans and protocols are followed. Uses discretion and is attentive to issues of customer confidentiality. Demonstrates skills in pro-active resolution and attempts to resolve scheduling conflicts.
  • May manage the medical record for the assigned area, including coordination with hospitals, practice offices and other ancillary services to obtain needed records. Responds to patient referral requests for tests, procedures and specialty visits. Follows guidelines and may assist in developing procedures to ensure that medical records are in compliance with all state and federal laws. May also reconcile charge tickets, identifying incomplete tickets, missing charge codes or missing diagnosis codes. Notifies clinical staff as needed.
  • Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards. Provides all customers of Foundation Health with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.
Desired Qualifications
  • Additional related education and/or experience preferred.
Foundation Health Partners

Foundation Health Partners

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